Giant Incisional Hernia Repair Using Open Intraperitoneal Dual Mesh

Area of Science:

• Abdominal Surgery
• Hernia Repair
• Surgical Outcomes

Background:

• Giant incisional hernias (fascial defects >15 cm) typically require open surgical repair.
• Treatment outcomes for giant incisional hernias using intraperitoneal dual mesh are not widely documented.

Purpose of the Study:

• To evaluate the outcomes of treating giant incisional hernias with open intraperitoneal dual mesh.
• To assess complication and recurrence rates associated with this surgical technique.

Main Methods:

• Retrospective evaluation of 25 patients with giant incisional hernias (15-30 cm fascial defects) treated between 2015 and 2021.
• All patients underwent open repair using intraperitoneal dual mesh.
• Data collected included patient demographics, defect size, operative details, complications, and recurrence.

Main Results:

• The average patient age was 62 years, with a mean BMI of 32 kg/m2.
• The mean fascial defect size was 22 cm, with an average operation time of 90 minutes.
• Six patients experienced minor complications (Clavien-Dindo type I-II); no major complications or recurrences were observed during a mean follow-up of 36 months.

Conclusions:

• Open intraperitoneal dual mesh application is an effective treatment for giant incisional hernias.
• This approach offers a favorable profile with low rates of complications and recurrence.